2018 Art & Music Camp registration form
REGISTRATION OPENS Wednesday, March 14
Event Arrival from 3:00 - 5:00 p.m., Monday, July 30, 2018
Departure: after lunch, Sunday, August 5, 2018
Event Address: River's Bend Retreat Center, 18450 Ray's Road, Philo CA 95466
Contact us at (707) 895-3990 or info@riversbendretreat.org
Email address *
Primary contact information:
Last Name *
Your answer
First Name *
Your answer
Mobile phone number
Your answer
Additional Participants
Names (Include first and last names, and ages for anyone under 18)
Your answer
Camp Pricing, Lodging Options & Dietary Restrictions
Please indicate 1st and 2nd choice for lodging preferences. Prices below represent your total camp cost (depending on your choice of lodging) and include 18 meals, taxes, and program (additional materials cost for some classes listed below).

To support an inclusive camp culture and generosity, we ask that you consider adding any amount - from $5- 100 to help cover the full costs of camp to River’s Bend, so that we can bring rich and varied offerings of music and art, as well as share funding with families who need extra support.

Register early - types of lodging have limited capacities and are first-come, first-serve. Once we receive your deposit, we will send you an invoice. Note: we cannot guarantee lodging availability.

Adult (17 and up) Lodging choice with meals, classes, etc.
My first choice
My second choice if first choice has already filled
Lodge -- $799/adult double occupancy
Vintage cabin - $799/adult double occupancy
Rustic cabin - $724/adult double occupancy
Tent cabin - $624/adult double occupancy
Bring-your-own-tent camping - $574/adult double occupancy
Commuter - $589/adult (meals, but no lodging included)
Private Room (An additional $20/nt surcharge is charged for single occupancy in lodges and cabin bedrooms with more than 1 bed) Example: You pick Circle Cabin lodging as an individual, but there are two queen beds in Circle and so you may be sharing with another solo camper. If you wish to have Circle Cabin all by yourself, you will pay for ‘private room” .
Will all the above participants be staying in the same lodging? (If yes, we will use the ages listed above to determine youth/children prices in your invoice)
If you answered no above, please indicate who will be staying in other lodging and indicate their preference in the next question.
Your answer
Youth (10-17)/Kids(3-9): Lodging choice with meals, classes, etc.
My first choice
My second choice if first choice has already filled
Lodge -- ($519 youth/$444 kids) double occupancy
Vintage cabin - ($519 youth/$444 kids) double occupancy
Rustic cabin - ($494 youth/$419 kids)double occupancy
Tent cabin - ($469 youth/$394 kids)double occupancy
Bring-your-own-tent camping - ($419 youth/$369 kids) double occupancy
Dietary Restrictions - Please list each participant and what food allergy they have. (example: Tobias - Dairy-free and Peanut allergy. Sue - Vegan)
Your answer
In addition to the "base" camp costs, I plan to contribute the following amount as part of the retreat balance I pay. (Select one only)
Choice of Classes
Morning Program
Adult class size is limited and registration is first-come, first-serve. REGISTER EARLY!

ADULTS AND YOUTH 11 AND OLDER - 9:30 - 12:15 pm.
If there is room in adult classes, mature 11 year-olds are welcome to join with an adult.
Note that some classes require payment of an additional materials fee.

1) Ceramics
2) Painting and mixed media - $15/person materials fee
3) Artist’s Visual Journal (with optional focus on study and prep for film and photography) - $15/person materials fee

KID'S PROGRAM - 9:15 - 12:20 p.m.
Ages 5-12 (mature 11 and 12 year-olds are also welcome to join adult classes with an adult, if there is room.)
Toddlers 4 and under can be in program, with parent support only.
Toddlers (2 and under) - camp costs for toddlers are $0, but if enrolled in Children's Program, they pay a $25 materials fee.

Please list the name of each participant in your family/group and indicate their 1st and 2nd choice for the morning class. Example: Mary (1 -Ceramics, 2 - Journal); Tara (children’s program)
Your answer
Afternoon Program Activities 4:15-5:45 p.m. (other afternoon options may emerge) (you can pick multiple)
Available Discounts
Discounts are calculated on total camp costs, minus any materials fees.

Early registration and first time guest discounts are applied after other discounts are taken, in that order.

We will calculate and apply all applicable discounts and return an estimated invoice to you.

Please indicate all that are applicable for you.
Never submit passwords through Google Forms.
This form was created inside of Riversbendretreat.org. Report Abuse - Terms of Service - Additional Terms